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Fundamentals of Nursing, 9e
9th Edition
ISBN: 9780323327404
Author: Patricia A. Potter RN MSN PhD FAAN, Anne Griffin Perry RN EdD FAAN, Patricia Stockert RN BSN MS PhD, Amy Hall RN BSN MS PhD CNE
Publisher: Elsevier Science
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Chapter 47, Problem 11RQ
Summary Introduction
The individual elements of particular foods that cannot be absorbed by
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DaVita Dietitian Reference Manual
Module 7 - Adequacy of Hemodialysis
Case 3
Beverly's monthly adequacy of dialysis results came back lower than usual. Her Kt/V is
1.13. Flow sheet data reveals the following:
Prescribed BFR 400, patient ran BFR 325 during treatment
Blood pressure dropped to 72/58 during treatment, so UFR was turned off.
Dry weight 65 kg, pre dialysis weight 69 kg, post dialysis weight 66.5 kg
1. What are DaVita's goals for Kt/V?
2. What is your impression of why the Kt/V is low?
3. What additional information would help in determining why Beverly's
adequacy results were below goal?
DaVita Dietitian Reference Manual
Module 7-Adequacy of Hemodialysis
DISCUSSION QUESTIONS
Define the following abbreviations:
• UKM
• URR
.
.
• Kt/V
What are the minimum DaVita outcome goals for Kt/V and URR?
How is the DaVita Quality Index calculated for Kt/V?
Discuss effect of adequacy on:
⚫ Phosphorus
.
⚫ Potassium
• Hemoglobin
• Appetite, intake and weight
⚫ Albumin
.
How is residual renal function measured? What term is used for residual clearance of
urea?
What are advantages and disadvantages of each dialysis access? Which dialyzes the
least efficiently and why?
Nutrition monitoring and evaluating pt
Chapter 47 Solutions
Fundamentals of Nursing, 9e
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